Mobile medical vans provide an array of services including identification, screening, diagnosis, medication and follow up record-keeping, and referral of high-risk cases to the nearest public health facility.

Objective: To enhance the health and well-being of underserved community by providing high quality services with technology driven innovations at their doorstep.

Models: The MMU are modelled in 2 ways, i.e., Doctor Led Model and Nurse Led Model.

• Doctor led model: This model is suitable in rural/urban areas where there is lack of doctors at public health facilities and also in difficult terrain where people are unable to reach or avail health care
• Nurse led model: This model is to reach the unreached people and communities where there is scarce or no health care facilities and infrastructure. This model is suitable in conditions and places where there is no doctor or difficult terrain for the people to avail the health care facility.

Each MMU has well-defined procedure of registration, examination, diagnosis, and dispensing medications. High-risk cases identification at various levels and referring them to public health institution are also followed with optimum care. Following workflow (Doctor led model) gives an idea of how beneficiaries are attended to.

Scope of Services

MMU serves as an effective health care delivery model for ANC, PNC, identification of high-risk pregnancy cases, treatment of children with ailments like ARI, diarrheal episode, screening of malnutrition, minor ailments (Fevers, body pains, bowel disorders, the disorder of joints, accident injuries of minor nature etc., communicable and non-communicable diseases (early detection of diabetes, hypertension and cancer); and counselling of patients with mental health issues, and people with the addiction of smoking and alcohol. To provide referral services, identified high-risk cases are referred to the nearest public health institution only. Team of MMU on an average may handle 50-70 patients per day. However, the actual numbers depend upon the target location, the number of beneficiaries, type of services, terrain etc.

As an end-to-end solution provider of MMU, they ensure the entire setting up of hardware and software, smooth operations, treatment protocol, monitoring the outcomes and analysis, awareness generation at the community level to increase demand for the service. They also ensure regularity of services, high beneficiary satisfaction and retention of patients.

State of the Art Technology at the Mobile Medical Unit:

AMRIT (Accessible Medical Records via Integrated Technologies) – Each MMU is equipped with AMRIT technology to capture data and upload on to the central server. AMRIT is a technology platform that enables in the creation of unique beneficiary id by capturing demographic details, contact numbers, existing id such as ADHAAR, RCH ID etc. of the said beneficiary. This unique identifier once created stays with the beneficiary and is used to access all his medical records chronologically. Once the beneficiary visits the MMU, the health record of the person is stored under this id. Further, it tracks the journey of the patient either as a repeat visit to the MMU or any other health facility to which AMRIT is connected thereby creating longitudinal health record which helps in improving patient outcomes. This also captures beneficiaries’ referral details and generates daily, weekly, and monthly reports to analyze the quality of services.

Piramal Swasthya’s experience in operating Mobile Medical Unit:

Piramal Swasthya has a proven track record in establishing and managing large-scale Mobile Medical Units (MMU) projects for various State Governments since 2007. Piramal Swasthya has the experience of deploying and operating more than 900 MMUs across various state governments (Andhra Pradesh, Assam, Arunachal Pradesh, Rajasthan, Telangana, Odisha) and CSRs (Oil India, UNDP, Shriram transport and finance corporation, Ujjivan financial services, Bokaro power & steel etc) and served more than 59 million beneficiaries through its MMU services.

1. Access to Quality health care at doorstep/community & Linking with the public health system through referrals
2. Early identification, diagnosis and follow up of chronic diseases like Hypertension, Diabetes, Epilepsy and Asthmatic cases.
3. Reduction in OOE (out of pocket Expenditure) by people and cutting down Wage losses, due to ‘sickness caused absenteeism’

Piramal Swasthya Management and Research Institute (Piramal Swasthya), the health and nutrition initiative of Piramal Foundation, is one of the largest not-for-profit organisations. Since its inception in 2017, it has served 148 million beneficiaries across 22 states through its 35 public health delivery programs.

Vision: “Transforming Health Ecosystems through High Impact Solutions, Thought Leadership and Partnerships”

Core values: Knowledge, Action, Care and Impact

Scale and Impact:

• 22 states
• 35 innovative public healthcare projects
• 378 call center seats
• 114 MMUs
• 7 - day clinics
• 2363 employees
• 14.8 Cr Beneficiaries